title: First successful aortic valve implantation with the CoreValve ReValving System via right subclavian artery access: a case report.
abstract: We successfully implanted a bioprosthetic aortic valve via the right subclavian artery within the framework of the CoreValve transapical aortic valve replacement (TAVR) ReValving (CoreValve, Irvine, CA, USA) clinical trial on November 20, 2007, at the Clinic for Cardiovascular Surgery at the German Heart Center Munich, Technical University Munich. The self-expanding aortic valve prosthesis is primarily designed for retrograde delivery across the aortic valve. The described approach via the right subclavian artery was performed because of severe peripheral vascular disease of the femoral and iliac arteries, as well as the left subclavian artery, and because a transapical delivery system was not available at the time of surgery.
authors.affiliation: Clinic for Cardiovascular Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany. ruge@dhm.mhn.de
authors.forename: Hendrik
authors.initials: H
authors.lastname: Ruge
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Lange
authors.forename: Sabine
authors.initials: S
authors.lastname: Bleiziffer
authors.forename: Andrea
authors.initials: A
authors.lastname: Hutter
authors.forename: Domenico
authors.initials: D
authors.lastname: Mazzitelli
authors.forename: Albrecht
authors.initials: A
authors.lastname: Will
authors.forename: Christian
authors.initials: C
authors.lastname: Schreiber
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Laborde
authors.forename: Robert
authors.initials: R
authors.lastname: Bauernschmitt
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001705:Bioprosthesis; D019544:Equipment Failure Analysis; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D011474:Prosthesis Design; D013348:Subclavian Artery / Q000601:surgery*; D016896:Treatment Outcome